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Exercise-Induced Vasospastic Angina With Prominent Regional Wall Motion Abnormality
Byeng-Ju Son,Jong-Il Park,Jong-Ho Nam,Chan-Hee Lee,Jang-Won Son,Ung Kim,Jong-Seon Park,Kang-Un Choi 아시아심장혈관영상의학회 2024 Cardiovascular Imaging Asia Vol.8 No.1
In vasospastic angina, exercise typically does not lead to vasoconstriction. We present the case of a patient with an atypical presentation of vasospastic angina, characterized by regional wall motion abnormalities confirmed by exercise stress echocardiography. A 58-year-old female patient presented to the hospital reporting chest pain during both exercise. During the exercise stress echocardiogram, regional wall motion abnormality was confirmed. However, the coronary angiography did not reveal significant lesions. Subsequently, ergonovine test was positive and then exercise induced vasospastic angina was diagnosed. Following medical treatment, the patient’s symptoms showed improvement. This case underscores an uncommon presentation of vasospastic angina in an individual already diagnosed with coronary artery disease, indicating that exercise stress echocardiography could serve as a valuable screening tool for specific types of vasospastic angina.